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RECEIVED <br /> MAY 2 6 2015 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: OCY'&v �QOccf¢S Stn J' cc_. <br /> ADDRESS: k, o\:)o R�� C-r�cM CA <br /> �s3 �y <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> 1 SV,-.kion TRr wn S� i certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: p <br /> S�.R�o ira�mvcl.. ) PO B 3153 3� � �a+ly CA <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> I, S id°ri j i f un 3s }n i certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> "g� S- -a o-) 5 <br /> Signature Date <br /> Revised 12/15/09 <br />